How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $43.65 | Facility | None | $12.88 | $23.99 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $20.42 | Professional | None | $12.88 | $15.49 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $83.18 | Facility | None | $15.85 | $15.85 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | None | $8.32 | $8.32 | $11.75 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $15.14 | Professional | None | $12.30 | $13.49 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $40.74 Typical High $67.61 | Facility | None | $17.38 | $40.74 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $33.88 | Professional | None | $16.22 | $19.95 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $25.12 | Professional | None | $16.98 | $20.42 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $33.11 | Professional | None | $14.13 | $27.54 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $16.22 Typical High $61.66 | Facility | None | $14.13 | $16.22 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $91.20 | Professional | None | $14.45 | $14.45 | $91.20 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $77.62 | Facility | None | $13.18 | $22.39 | $77.62 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $77.62 | Professional | None | $13.18 | $23.99 | $77.62 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $14.13 | Professional | None | $7.08 | $10.00 | $14.13 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $2.51 | $3.16 | $3.24 |
Where Virginia sits
The same service costs 3.7 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 43rd of 51
$15.85
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.